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Hubungan Self Management dan Self Efficacy pada Pasien Penyakit Ginjal Kronik on Hemodialisis Sari, Fermata; Yanti, Lindesi; Arafah, Masniati
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Supp Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.2045

Abstract

Pasien Penyakit ginjal kronik dengan hemodialisis menghadapi  kesulitan yang sangat komplek dalan adaptasi terhadap penatalaksanan masalah kesehatan yang sering kali sulit dipatuhi oleh pasien Pasien  harus berpartisipasi dalam proses pengobatan sehingga mengurangi komplikasi dan meningkatkan kualitas hidupnya. Salah satu metode efektif yaitu peningkatan manajemen diri, dan efikasi diri. Tujuan : Mengindentifikasi hubungan Efikasi diri dan Manajemen diri Pasien Penyakit Ginjal Kronik On Hemodialisis. Desain penelitian ini analisis deskriptif. Sampel penelitian ini adalah Pasien Penyakit Ginjal Kronik di RS Palembang Sumatera Selatan, yang ditentukan melalui tehnik purposive sampling,berjumlah 63 orang. Instrumen penelitian terdiri dari Hemodialysis self management Instrument  dan kuesioner  Chronic Kidney Disease Self Efficacy Instrument (PGK-SE), analisis data menggunakan uji Regresi linear sederhana korelasi pearson. Hasil karakteristik responden menunjukkan mayoritas responden  lansia awal (46%) ,berjenis kelamin laki laki (58,8%), berstatus menikah  (96,8%), dan berpendidikan SMA (52,4%),  sebagian besar tidak bekerja  (57,1%), lama hemodialisa >12 bulan (77,8%), dan penyakit penyerta Hipertensi (68,3%). Hubungan self efficacy dengan manajemen diri menunjukkan hubungan yang kuat (r=0,545). Nilai koefesien dengan determinasi 0,297, dan hasil uji statistik didapatkan ada hubungan yang signifikan antara self efficacy dengan self management (P value=0,001). Peneliti menyimpulkan bahwa semakin tinggi efikasi diri pada pasien dengan hemodialis maka  akan semakin baik perilaku manajemen diri pasien PGK dengan hemodiliasis.
Peningkatan Pengetahuan Ibu tentang Gizi Seimbang pada Balita dalam Upaya Mencegah Stunting Yanti, Lindesi; Sari, Fermata; Hidayat, Aris Teguh; Arafah, Masniati
Jurnal Peduli Masyarakat Vol 7 No 1 (2025): Jurnal Peduli Masyarakat: Januari 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i1.5599

Abstract

Stunting merupakan gangguan pertumbuhan dan perkembangan anak yang disebabkan oleh kekurangan gizi kronis yang ditandai dengan tinggi badan anak yang lebih pendek dari rata-rata untuk usianya. Stunting dapat terjadi ketika anak tidak mendapatkan asupan gizi yang cukup dan seimbang dalam waktu yang lama. Pengabdian Masyarakat ini bertujuan memberikan pendidikan dan dukungan kepada ibu balita untuk meningkatkan pengetahuan mereka tentang gizi seimbang. Kegiatan pengabdian Masyarakat dilakukan pada tanggal 28 Februari 2024, di wilayah kerja Puskesmas Merdeka Palembang. Metode yang dilakukan adalah penyuluhan melalui ceramah, menggunakan media power point dan leaflet, serta dievaluasi melalui kuesioner sebelum dan sesudah edukasi. Materi yang disampaikan meliputi stunting, penyebab, dampak stunting, pencegahan dan gisi seimbang. Hasil analisis menunjukkan nilai mean pengetahuan sebelum diberikan edukasi 7.30 dan 9.55 setelah diberikan edukasi, dengan selisih yang didapatkan 2.25, nilai standar deviasi sebelum diberikan edukasi adalah 0.865 dan 0.510 sesudah diberikan edukasi, dengan p-value 0,000. Diharapkan keberlanjutan program ini untuk meningkatkan pengetahuan tentang stunting dan upaya pencegahan dengan makanan bergizi, selain itu penambahan keterampilan untuk berinovasi dalam membuat resep makanan untuk balita.
Identification of Risk Factors Causing Stunting in Children Under Five Years of Age Yanti, Lindesi; Sari, Fermata; Hidayat, Aris Teguh; Arafah, Masniati
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5416

Abstract

Stunting is a global health problem in children that has an impact on increasing morbidity and mortality, developmental disorders (cognitive, motor, language), and increasing the economic burden for the costs of child care and treatment.The aim is to identify risk factors for stunting in children under five years of age. The research method uses a descriptive observational design and a cross-sectional approach, with a sample size of 94 respondents use cluster sampling. Measuring instruments used Questionnaire which contains a history of exclusive breastfeeding, history of infectious diseases, immunization status and 10 knowledge questions about stunting that have been tested for validity. Correlation data analysis using chi-square, and multiple logistic regression prediction modeling. The results of the study showed a significant relationship between exclusive breastfeeding and the incidence of stunting in toddlers. Toddlers who do not receive exclusive breastfeeding have a 33.139 times greater chance of experiencing stunting compared to toddlers who receive exclusive breastfeeding with a wald value of 14.159. The conclusion is that the factor of exclusive breastfeeding is the factor that plays the most role in influencing the incidence of stunting in toddlers.An important role is needed for cadres, health promoters, and health services to support the government's program on providing exclusive breastfeeding, providing education and providing correct and accurate information regarding stunting and how to prevent it.
Relationship between Leadership Style and Characteristics of Room Head and Nurses' Performance Hidayat, Aris Teguh; Arafah, Masniati; Yanti, Lindesi; Sari, Fermata
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5520

Abstract

Nursing services have a close relationship with nurse performance, which is influenced by various factors, including leadership style and characteristics of the head of the room. A good leadership style can create positive work effectiveness, while ineffective leadership often triggers complaints about health services. This study aims to determine the relationship between leadership style and characteristics of the head of the room with nurse performance at the dr. AK Gani Military Hospital, Palembang. This study used a correlational design with the Cross-Sectional method. The study sample consisted of 131 nurses taken using a purposive sampling technique. Data were collected using a questionnaire and analyzed using the Chi-Square test. The results showed a significant relationship between leadership style and nurse performance (p = 0.003) and between the characteristics of the head of the room and nurse performance (p = 0.004). In conclusion, leadership style and characteristics of the head of the room have an important role in influencing nurse performance. This study is expected to provide benefits for the development of nursing management, especially in improving the quality of leadership of the head of the room to support optimal nurse performance.
Analysis of Factors Related to Increased Interdyalitic Weight Gain (IDWG) in Patients with Chronic Kidney Diseases (CKD) in Hemodialysis Unit Sari, Fermata; Yanti, Lindesi; Hidayat, Aris Teguh; Arafah, Masniati
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5523

Abstract

Weight gain between dialysis times (Intradialytic Weight Gain (IDWG)). IDWG values > 6% of dry body weight can cause various complications. Increased IDWG is influenced by various factors both internal and external. It is important to know the factors that influence IDWG in increasing patient compliance with fluid intake. Objective to determine the factors that influence the increase in IDWG of Chronic Kidney Disease Patients in the Hemodialysis Unit Method: The design of this study is descriptive correlation analysis with a Cross Sectional design. The sample of this study was CKD patients with hemodialysis at Dr. AK Gani Hospital, Palembang, the sample was determined through a total sampling technique, totaling 41 respondents. The research instruments consist of demographic data instruments, namely age, gender, education and marital status, fluid intake questionnaires, stress, thirst using standard questionnaires, family support questionnaires have been tested for validity with r results> r table (0.361), and reliable with r Alpha value of 0.749, self-efficacy questionnaires have been tested for validity with r results> r table (0.361), and declared reliable with r Alpha 0.822, and Body Weight is measured using ISO weight scalesAnalysis to determine the relationship between IDWG and fluid intake, thirst, self-efficacy, stress, family support with the Spearman Sign Rank Rho correlation test. There is a significant relationship between IDWG values and fluid intake (p = 0.001 r = 0.603), there is a relationship between IDWG values and thirst (p = 0.001 r = 0.484). There is no relationship between IDWG values and self-efficacy (p = 0.186 r = 0.244). The relationship between IDWG values and stress showed no relationship (p = 0.206 r = 0.202). The relationship between IDWG values and family support had no relationship with IDWG values (p = 0.976 r = 0.005). The increase in IDWG values is influenced by fluid intake and thirst in hemodialysis patients, the higher the fluid intake and thirst, the greater the increase in IDWG values.
IMPLEMENTASI MODUL CITRA DALAM PRAKTIK KEPERAWATAN ANAK UNTUK MENURUNKAN KECEMASAN ANAK PRASEKOLAH YANG MENJALANI RAWAT INAP DI RUMAH SAKIT Suraya, Citra; Aris Citra Wisuda; Tukimin bin Sansuwito; Masniati Arafah; Fermata Sari; Dian Emiliasari; Isrizal; Nuriza Agustina; Rifka Zalila
Jurnal Pengabdian Kepada Masyarakat Citra Delima Vol. 3 No. 1 (2025): Jurnal Pengabdian Kepada Masyarakat Citra Delima
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/yprerx11

Abstract

Anxiety in preschool children during hospitalization can affect their psychological well-being, cooperation during procedures, and recovery process. This community service program aimed to implement the CITRA Module (Communication Through Interactive Therapeutic and Reflective Storytelling Approach) in nursing practice to reduce anxiety among hospitalized preschool children at Siti Khadijah Islamic Hospital Palembang. The program was conducted from July to September 2025 and involved 10 nurses as training participants and 30 preschool children as intervention recipients. The method applied was training and education combined with clinical mentoring, including therapeutic storytelling education, simulation of CITRA implementation, direct clinical practice in pediatric wards, and evaluation through descriptive observation of children’s behavior and emotional responses. The results of descriptive evaluation showed a notable improvement in nurses’ therapeutic communication skills after training and mentoring. In addition, approximately 80% of children demonstrated a decrease in anxiety indicators such as excessive crying, physical tension, and fear of procedures. The CITRA Module proved to be feasible and practical to implement, enabling nurses to build more positive therapeutic interactions with children and enhance the quality of pediatric nursing care. This program is recommended for sustainable implementation in pediatric clinical nursing practice.
Manajemen Cairan Pada Pasien Gagal Jantung Dalam Mengurangi Edema dan Kelebihan Cairan Hidayat, Aris Teguh; Sari, Fermata; Yamin, M; Sianturi, Leny Joice
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.573

Abstract

When evaluating and treating individuals with heart failure, volume overload and fluid congestion are issues. One of the main causes of hospital admission, rehospitalization, and mortality in heart failure is fluid congestion. Reducing congestion and preserving euvolemia is crucial because patients with heart failure who are treated with fluid overload have a higher risk of readmission and/or mortality. Fluid management is one intervention that nurses can use to help patients with heart failure avoid oedema and fluid overload. This systematic study aims to reduce oedema and fluid overload in heart failure patients by identifying fluid management strategies. Data collection methods used online databases: PubMed, Google Scholar, Science Direct, Scopus, ClinicalKey, ClinicalKey Nursing, EBSCOhost, Springer Link, and Sage Journal using the keywords Heart Failure Patient, Fluid Management, Reduce Oedema, and Fluid Overload. Data were analyzed using PRISMA. Based on the review of 5 selected articles, it was found that fluid management was carried out to reduce oedema and fluid overload in patients with heart failure. The primary cause of hospitalization for patients with acute decompensated heart failure (ADHF), which mostly manifests as pulmonary and systemic congestion, is excessive water retention brought on by sodium ion imbalance. For patients with ADHF, relieving congestion is a crucial part of treatment.